Thank you for applying to study at City UC

Once you have registered through our online registration system, we will contact you to follow up on the rest of the application procedure.

1. Personal Details

Full Name (as in IC) :

Date of Birth : / /

Identity Card No :

Student Mobile No :

Parent Telephone No :

Email :

2. Permanent Address

Address :

City/Town : PostCode :

State : Country :

3. Last Academic Qualification

School/College :

State :

SPM : (sum the number of subjects with A, B and C into the appropriate box below)
A+ to A- = B+ to B- = C+ to C- =

English :  Credit Pass Failed

Mathematics :  Credit Pass Failed

Science / Additional Science / Physics / Chemistry / Biology :  Credit Pass Failed

STPM (if applicable) : (Principal is the subject of grade A to C)

4. Programme Preference

1st Choice :

2nd Choice :

5. Important Notes

The personal data you have provided in this form will be used by or on behalf of City UC to send you further details, including its events, academic programmes and marketing information.

Maklumat peribadi yang anda berikan pada borang ini akan digunakan oleh atau pihak-pihak yang berkaitan dengan City UC untuk menghantar kepada anda maklumat lanjut berkaitan acara-acara yang akan dianjurkan, program akademik dan maklumat pemasaran.

6. Declaration and Agreement by Applicant

I declare that the information provided by me in this application form is true and correct.

I acknowledge and agree :-
a) That City UC reserves the right to vary or reserve any decision regarding admission or enrollment made on the basis of incorrect or incomplete information given by me.
b) To abide by all academic, administrative and examination rules and regulations of the programme and to uphold the integrity and good name of City UC at all times.
c) City UC shall have absolute right as it deems fit to defer, close or not to commence any programme; and to review, change and update subject curriculum in any programme.
e) To abide by the City UC Code of Honour, as outlined in the General Rules and Regulations in the relevant City UC Student Handbook.

 Yes, I understand and agree on the above terms & conditions (Section 5 & 6. Declaration and Agreement by Applicant)